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October 13, 2013 - 12:00am
Seattle, Washington


2013 Meeting Overview:

The Effective Approaches to Addressing Patients with Substance Use Disorders in the Emergency Department: A Knowledge Exchange meeting, was held on October 13, 2013, as a preconference full day workshop. The Blending Meeting provided physicians, clinicians, healthcare providers, researchers, policy makers, and others with the opportunity to learn from the top experts who play roles in designing science-based treatment programs, and from the practitioners who implement those programs across the county.

The morning half of the day consisted of three talks and panel discussions of successful models of clinical management of prescription opioid use disorders. The afternoon included three talks on screening and brief interventions, followed by a panel discussion on successful models of implementing screening and brief interventions. There was also a luncheon roundtable discussion where attendees brainstormed on questions addressing critical issues in prescribing opioids in emergency departments.

Goals and Objectives:

The goals of the meeting were to:

  • Review important and timely topics in the treatment of Substance Use Disorders.
  • Provide a forum to discuss emerging research findings and their implications in clinical practice.
  • Provide updates and practical applications for selected areas of substance abuse treatment.

At the end of the day, attendees were able to:

  • Recognize recent innovations in substance abuse treatment and their integration in medical settings.
  • Use evidence-based approaches to recognize solutions for implementation challenges in practice.


There were approximately 115 people in attendance for this workshop.


Begin End Session Faculty
7:00 a.m.   Registration and Check-in
8:00 a.m. 8:15 a.m. Opening Ceremonies and Welcoming Remarks Megan L. Ranney,
Andrew J. Saxon
8:15 a.m. 10:00 a.m. Clinical Management of Prescription Opioid Use Disorders (3 Presentations)  
8:30 a.m. 9:00 a.m. 1. ACEPT Clinical Policy: Review and Implementation of the Clinical Guidelines Knox H. Todd, M.D., M.P.H., FACEP
8:15 a.m. 10:00 a.m. 2. Hard Conversations: Addressing Patients With Chronic Pain Kavita M. Babu, M.D., FACEP, FACMT
8:15 a.m. 10:00 a.m. 3. Facilitation Through Technology–Prescription Drug Monitoring Programs Edward W. Boyer, M.D., Ph.D.
10:00 a.m. 10:30 a.m. Break
10:30 a.m. 12:00 p.m. Panel Discussion of Working and Successful Models:
North Carolina Emergency Department Care Coordination Trial Chris L. Ringwalt, Dr.P.H.
A Randomized Controlled Trial of Citywide Emergency Department Care Coordination Darin E. Neven, M.D., M.S.
Rural Strategy to Reduce Drug Diversion John J. Graykoski, MPAS, PA-C
Guidance for Opioid Prescribing: Lessons Learned From the NYC Experience Lewis S. Nelson, M.D., FACEP
12:00 p.m. 1:30 p.m. Luncheon Roundtable Discussion:
Implementation and Application of ACEP Clinical Policy Critical Issues in the Prescribing of Opioids for
Adult Patients in the Emergency Department
Moderated by:
Lewis S. Nelson, M.D., FACEP
& Knox H. Todd, M.D., M.P.H., FACEP
1:30 p.m. 1:45 p.m. Stretch Break
1:45 p.m. 3:30 p.m. Screening and Brief Intervention for Substance Use Disorders (3 presentations)
2:00 p.m. 2:30 p.m. 1. Overview of Screening and Brief Intervention in the Emergency Department Gail D’Onofrio, M.D., M.S., FACEP
2:30 p.m. 3:00 p.m. 2. Addressing Patients With Comorbid Conditions Douglas F. Zatzick, M.D.
3:00 p.m. 3:30 p.m. 3. Using Technology to Facilitate SBIRT: Web and Computer-Based Screening and Brief Intervention Rebecca M. Cunningham, M.D.
3:30 p.m. 4:00 p.m. Break
4:00 p.m. 5:30 p.m. Panel Discussion of Working and Successful Models
Training Trauma Center Clinicians to Perform Screening and Brief Intervention: Results From a National Training Effort Christopher W. Dunn, Ph.D.
Statewide Dissemination of Emergency Room Screening and Brief Intervention: Lessons Learned Blending Research and Practice Edward Bernstein, M.D., FACEP
Implementation of a Screening and Brief Intervention Program in a Large Safety-Net Trauma Center Kerryann B. Broderick, M.D., B.S.N., FACEP
Screening and Brief Intervention Strategies for Emergency Nurses Patricia K. Howard, Ph.D.,
5:30 p.m.   Adjourn